Examining the context and helpfulness of family companion contributions to older adults' primary care visits.
Examining the context and helpfulness of family companion contributions to older adults' primary care visits.
复制标题
检查家庭陪伴对老年人初级保健就诊的贡献的背景和帮助。
DOI：
10.1016/j.pec.2016.10.022
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发表时间：
2017
影响因子：
3.5
通讯作者：
Roter,DebraL
中科院分区：
文献类型：
--
作者：
Wolff,JenniferL;Guan,Yue;Boyd,CynthiaM;Vick,Judith;Amjad,Halima;Roth,DavidL;Gitlin,LauraN;Roter,DebraL
目的老年人通常让家庭(广义的)参与他们的护理。我们考察了老年人在初级保健探访中的沟通行为，包括这些行为是否在老年人如何管理自己的健康、让家人参与医疗决策的偏好以及同伴的帮助评级方面存在差异。方法对有家庭伴侣陪同的老年患者的初级保健探视录音进行分析(n=30对偶)和相关的患者调查。超过一半的同伴沟通行为是为了提高医生对患者的理解。在将自己的健康管理委托给他人的患者的探视中，同伴比共同管理或自我管理自己健康的患者的探视更活跃。患者更倾向于让家人积极参与医疗决策的患者认为陪伴更有帮助。结论在初级保健沟通中，家属的参与和帮助程度因患者对让家人参与医疗决策的偏好和健康管理方法的不同而不同。实践启示研究明确患者和家属对初级保健访问的期望的效果，可以为改善医疗沟通以患者为中心的策略提供参考。
ObjectiveOlder adults commonly involve family (broadly defined) in their care. We examined communication behaviors of family companions during older adults’ primary care visits, including whether these behaviors vary with respect to how older adults manage their health, preferences for involving family in medical decision-making, and ratings of companion helpfulness.MethodsAnalysis of audio-taped primary care visits of older patients who were accompanied by a family companion (n = 30 dyads) and linked patient surveys.ResultsFamily companions predominantly facilitated doctor and patient information exchange. More than half of companion communication behaviors were directed at improving doctor understanding of the patient. Companions were more verbally active during visits of patients who delegated the management of their health to others than visits of patients who co-managed or self-managed their health. Companions were rated as more helpful by patients who preferred active involvement of family in medical decision-making.ConclusionFamily companion participation and helpfulness in primary care communication varies by patients’ preferences for involving family in medical decision-making and approach to manage their health.Practice implicationsResearch to examine the effects of clarifying patient and family companion expectations for primary care visits could inform strategies to improve the patient-centeredness of medical communication.
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影响因子：
5.4
作者：
Wolff, Jennifer L.;Roter, Debra L.
通讯作者：
Roter, Debra L.
接受医生就诊和处方药物援助的老年人及其家庭护理人员：患病率、特征和护理时间。
DOI：
10.1093/geronb/gbu119
发表时间：
2014
期刊：
The journals of gerontology. Series B, Psychological sciences and social sciences
影响因子：
--
作者：
Wolff,JenniferL;Spillman,Brenda
通讯作者：
Spillman,Brenda
勘误表：老年人以个人和家庭为中心的护理：全国调查结果
影响因子：
5.7
作者：
J. Wolff;C. Boyd
通讯作者：
C. Boyd
影响因子：
3.6
作者：
Zikmund-Fisher, Brian J.;Couper, Mick P.;Fagerlin, Angela
通讯作者：
Fagerlin, Angela
老年患者及其家庭护理人员是否同意慢性病护理的质量？
DOI：
10.1093/intqhc/mzt052
发表时间：
2013
期刊：
International journal for quality in health care : journal of the International Society for Quality in Health Care
影响因子：
--
作者：
Giovannetti,ErinR;Reider,Lisa;Wolff,JenniferL;Frick,KevinD;Boult,Chad;Steinwachs,Don;Boyd,CynthiaM
通讯作者：
Boyd,CynthiaM